Mary Jo Elam, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001965 Issued in IA

Practice address

201 S Clinton St
#195
Iowa City, IA 52240-4034

Phone

(319) 384-0520

NPI assigned

Nov 8, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA, NC, MD, IL, WI5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melam1045204@direct.hopkinsmedicine.org
• Direct secure messaging: mary.elam@marshfieldclinichealthsystem.cernerdirect.com
• Direct secure messaging: melam251384@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marengo Memorial Hospital

  dba Compass Memorial Healthcare

  • Critical Access Hospital
  • Marengo, IA
  • NPI 1053368191
  Medicare reassignment NPD
• Monroe County Hospital

  • Critical Access Hospital
  • Albia, IA
  • NPI 1205895299
  Medicare reassignment NPD
• Monroe County Hospital

  dba MCH Clinic

  • Rural Health Clinic/Center
  • Albia, IA
  • NPI 1245469378
  Medicare reassignment NPD
• Van Buren County Hospital

  • Emergency Medicine Physician
  • Keosauqua, IA
  • NPI 1316063076

  Physician Assistant

  Medicare reassignment NPD
• Lakeview Medical Center Inc of Rice Lake

  dba Marshfield Medical Center - Rice Lake Professional Services

  • Clinic/Center
  • Rice Lake, WI
  • NPI 1093201832
  Medicare reassignment NPD
• Marshfield Clinic Inc

  dba Marshfield Clinic Florida Teleradiology/Telehealth

  • Clinic/Center
  • Marshfield, WI
  • NPI 1952347981
  Medicare reassignment NPD
• MCHS Hospitals Inc

  dba Marshfield Medical Center

  • Clinic/Center
  • Marshfield, WI
  • NPI 1093221434
  Medicare reassignment NPD
• Scotland Memorial Hospital Inc

  dba SURGICAL ASSOCIATES of SCOTLAND

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507
  Medicare reassignment NPD
• Southern Illinois Medical Services, NFP

  dba SIH Medical Group

  • Internal Medicine Physician
  • Carbondale, IL
  • NPI 1770656837
  Medicare reassignment NPD
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Iowa Emergency Physicians LLP

  • Emergency Medicine Physician
  • Waterloo, IA
  • NPI 1386879427
  Medicare reassignment
• Trinity Regional Medical Center

  dba UnityPoint Clinic

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1265686950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 SIERRA CT SW",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408503",
            "telephone_number": "319-337-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S CLINTON ST",
            "address_2": "#195",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522404034",
            "telephone_number": "319-384-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAM",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "MEMBERP00737311",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramy El-Diwany, MD, PHD
• Sara Yasser El-Hattab, PHARMD
• Georges Y El-Khoury, MD
• Hatem I El-Shanti, MD
• Jacob Ryan Elam, MD
• Satheesh Elangovan, BDS., DSC., DMSC
• Diane E Elas, ARNP
• Usamah Mohamed Elbakkush
• Elder Services, Inc.
• Carly Elder, RN

• Physician Assistant in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.